State and territory EHDI databases: what we do and don't know about the hearing or audiological data from identified children

Am J Audiol. 2014 Mar;23(1):34-43. doi: 10.1044/1059-0889(2013/13-0015).


Purpose: The purpose of this study was to define the information currently collected by state and territory Early Hearing Detection and Intervention (EHDI) coordinators and to determine whether best practice guidelines are used.

Method: A multiple-choice electronic survey querying areas of diagnostic assessment, amplification, early intervention (EI) and medical information regarding hearing loss was sent to all state and territory EHDI coordinators.

Results: Seventy percent of surveys were completed. Diagnostic, amplification, and Part C services were tracked by the majority of respondents. Additionally, medical prenatal and postnatal risks were collected.

Conclusion: Data collected on audiologic screening and diagnostic evaluations has increased. On the basis of these results, it is difficult to discern whether best practices are being used for each child. A delay in reporting a confirmed hearing loss was observed. Amplification results suggest that systems are not in place to ensure consistency and accountability for fitting amplification in infants. The results of this survey identified audiologic and EI information tracked by states to help provide a framework to monitor quality care in the future.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Child, Preschool
  • Databases, Factual / statistics & numerical data*
  • Early Diagnosis*
  • Early Intervention, Educational*
  • Hearing Loss / diagnosis*
  • Hearing Loss / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Quality Assurance, Health Care
  • Quality of Health Care
  • United States